Most Relevant Information
Provider Data
| NPI Number: | 1003670746 |
| Provider Name: | LAURA RACHAL |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 6487 |
Most Important Dates
| Enumeration Date: | 02/13/2024 |
| Last Updated: | 02/13/2024 |
Provider Practice Location
2506 N HARRISON ST
SHAWNEE
OK
748043131
Practice Location Phone/Fax
| Phone: | 4052140300 |
| Fax: |
Provider Mailing Location
2506 N HARRISON ST
SHAWNEE
OK
748043131
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |